
Hello, I’m Director Lee Won of 21 Plastic Surgery.
When people reach middle age, there are moments when the face in the mirror
starts to feel unfamiliar.
Fine lines around the eyes, smile lines,
and a sagging jawline are often the first things you notice…
You can’t avoid the passage of time,
but when it appears not just as aging, but as a change in your “impression,”
many people feel psychological pressure.
For people in midlife, aging is not simply a change in appearance,
but a time when it deeply affects confidence and identity.
Sagging facial skin, wrinkles around the eyes, and forehead lines
can define one’s impression more strongly than fatigue or emotions do!!
So today,
for middle-aged patients who want a smoother, more refreshed impression,
I’d like to explain brow lift surgery and upper and lower blepharoplasty
along with my mother-in-law’s surgical case~^^

Before surgery,
the double eyelids had sagged, so the crease was not clearly defined,
and she was using her forehead and eyebrows to open her eyes.
As a result, many wrinkles formed on the forehead,
and because she had to use the forehead and brow muscles to open her eyes,
she felt increasingly tired in the evenings, along with headaches.
The lower eyelids also had protruding fat and sagging,
with hollowness developing in the sunken areas.
Based on the diagnosis,
we set the surgical plan for my mother-in-law like this:
Upper blepharoplasty with eyelid correction + lower blepharoplasty + brow lift

One week after surgery,
this is the appearance after stitch removal.
If you look at the photo above, there is still bruising and swelling,
but compared to before surgery, you can see that she is using the brow muscles less to open her eyes,
forehead wrinkles have improved,
and the sagging under-eye area has also improved through lower blepharoplasty.

Two weeks after surgery,
as the swelling and bruising gradually subside,
the eyes look even more defined.
The brow angle also begins to visibly improve.

One month after surgery,
she is able to open her eyes comfortably with less reliance on brow strength,
and the under-eye area looks neatly refined as well.
With the smoother forehead line achieved through the brow lift
and the area around the eyes neatly refined,
her overall impression has become softer and more pleasant^^

Why does it become harder to open the eyes as we age?
As the levator muscle and the muscles around the eyes,
as well as the elasticity of the surrounding tissues, decrease and the skin sags,
the ability to open the eyes wide gradually weakens.
When this happens, people try to open their eyes using the forehead muscles,
which causes forehead wrinkles and raises the eyebrows!!

The key to a brow lift is lifting the sagging forehead skin and muscles upward
in order to restore a brighter and younger-looking overall impression.
Anatomically, the procedure is performed by dissecting the forehead fascial layer (galea aponeurotica)
and the frontalis muscle,
lifting the brow position in a more natural and harmonious way.
Lower blepharoplasty is performed by making an incision in the skin to effectively remove or reposition accumulated fat,
and to tighten the stretched skin and fascia at the same time.
Although a skin incision is necessary, the incision is made along the natural crease line under the eyes,
so recovery after surgery is quick and the scar is hardly noticeable.

Before undergoing surgery, 충분한 상담과 해부학적 분석,
and a precise customized plan are essential steps.
At 21 Plastic Surgery,
we comprehensively analyze each patient’s impression, facial expression, skin elasticity, and anatomical structure
to establish the optimal surgical plan.
Through this process, we always do our best
to deliver the most ideal and natural-looking results.
As concerns grow deeper with age,
don’t struggle alone—consult with a specialist and look for a solution.
21 Plastic Surgery will help create your brighter, more youthful impression.
Please feel free to contact us anytime.
Thank you.

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